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Classroom Strategies for Students with Cognitive Disengagement Syndrome

Tere Bowen-Irish, OTR/L

September 1, 2025

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Question

What are effective classroom strategies for supporting students with Cognitive Disengagement Syndrome (CDS)?

Answer

Children with Cognitive Disengagement Syndrome (CDS) often face significant social and emotional challenges due to their reduced cognitive processing speed and difficulties with engagement. In peer interactions, they may struggle to follow rapid conversations, miss nonverbal cues, or take too long to respond, leading to feelings of exclusion or social withdrawal. These challenges can make it harder for them to initiate and sustain friendships, increasing the risk of social isolation and anxiety.

Emotionally, children with CDS may experience frustration due to their inability to keep up with classroom expectations and social dynamics. They may appear disengaged or inattentive, which can be misinterpreted as a lack of interest, further alienating them from peers and teachers. Addressing these issues requires structured social skills training, self-awareness exercises, and mindfulness practices to help them recognize and manage their attentional lapses. Educators and therapists can support these students by facilitating structured peer interactions, providing clear social cues, and teaching self-regulation techniques to improve their ability to engage meaningfully with others.

This Ask the Expert is an edited excerpt from the course, "Cognitive Disengagement Syndrome: The Opposite of ADHD?" presented by Tere Bowen-Irish, OTR/L.


tere bowen irish

Tere Bowen-Irish, OTR/L

Tere Bowen- Irish has practiced Occupational Therapy in pediatrics and psychiatry for over 40 years. Through her business, All the Possibilities, she continues to provide treatment, assessment, and consultation for clients. Workshops for therapists, educators, and parents are offered privately or publicly on a variety of topics such as inclusion, child development, classroom management, behavioral challenges, executive function, and other topics relevant to the 21st-century educational system. The focus is on common sense and a practical approach toward empowering educators and students to create a climate of learning, understanding, and inclusiveness for all abilities.

Tere is also the creator/author of The Drive Thru Menu Suite of Exercises, which is an initiative to bring movement and mindfulness into today’s classrooms. She is a certified YogaKids teacher and a Certified Mindful Schools Instructor. She is the author of Yoga and Me, Come be a Tree and co-authored My Mindful Music with Mary Ann Harman. Feel free to contact Tere at tereirish@gmail.com

 


Related Courses

Cognitive Disengagement Syndrome: The Opposite Of ADHD?
Presented by Tere Bowen-Irish, OTR/L
Recorded Webinar

Presenter

Tere Bowen-Irish, OTR/L
Course: #5185Level: Intermediate1 Hour
  'Detailed information was provided and described well'   Read Reviews
We have all heard about ADD without the H. This diagnosis is called CDS (Cognitive Disengagement Syndrome). The signs and symptoms are apparent. These clients are easily confused, daydream, have decreased processing time, and are spacey, lethargic, and sluggish. This seminar will help you to better understand this individual and how best to facilitate success in their lives.

Let’s Not Overlook Mood Disorders In Our Youth Population
Presented by Tere Bowen-Irish, OTR/L
Recorded Webinar

Presenter

Tere Bowen-Irish, OTR/L
Course: #5190Level: Intermediate1 Hour
  'Very educational'   Read Reviews
The diagnoses of mood disorders, especially bipolar disorder, can be overlooked. Many students end up with the diagnosis of Oppositional Defiant Disorder attached to a comorbid diagnosis such as Autism Spectrum Disorder, ADHD, and Depression. Let’s take the time to sort this out. Knowing the difference can mean so much to the student, their treatment, and your interventions.

Exploring Self Regulation With 3 To 5 Year Olds
Presented by Tere Bowen-Irish, OTR/L
Recorded Webinar

Presenter

Tere Bowen-Irish, OTR/L
Course: #4768Level: Intermediate1 Hour
  'Great presentation and organization of the course'   Read Reviews
Self-regulation for 3–5-year-olds can be quite variable. As we know, self-regulation skills help kids navigate their environments, regardless of age. This seminar explores self-regulation for little ones just starting their first school experience. Learning to wait, responding calmly, being able to listen, and direction following are all part of building the foundational skills of self-reg. Let’s help them get a great start!

Executive Function and Its Application to Physical Therapy in School Based Treatment
Presented by Tere Bowen-Irish, OTR/L
Recorded Webinar

Presenter

Tere Bowen-Irish, OTR/L
Course: #4782Level: Advanced1 Hour
  'I enjoyed the speaker and was very knowledgeable'   Read Reviews
Do you have students on your caseload with memory, organization, emotional regulation, attentional, and judgment challenges? These are just a few aspects of executive function. Our role is to help students access their classrooms, so why not utilize a brain-based approach in our school-based treatment? Join me for some ideas and strategies for best practices.

Play, Has It Become A 4 Letter Word In Education?
Presented by Tere Bowen-Irish, OTR/L
Recorded Webinar

Presenter

Tere Bowen-Irish, OTR/L
Course: #4783Level: Intermediate1 Hour
  'I really enjoyed the instructor's enthusiasm, presentation of research, and applicable skills I can use in the clinic tomorrow'   Read Reviews
The concept of returning to play-based Pre-K and K seems to be making a resurgence. Promoting learning via play makes sense as children naturally learn through exploration, cause and effect, and pleasure. Throwing away the worksheets to pave the way for play-based learning to become the norm can initially be daunting for all working with young children. We will discuss research, implementation, and outcomes that promote this initiative.